Individual provider Active NPI

Kathryn Brown, NP

  • Nurse Practitioner
  • Grand Rapids, MI
National Provider Identifier
1225601131
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704310984 Issued in MI
Practice address
625 Kenmoor Ave SE Ste 350
Grand Rapids, MI 49546-2395
Phone
(989) 750-8511
NPI assigned
Jul 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704310984 MI Primary

Addresses

Primary practice location

625 Kenmoor Ave SE Ste 350
Grand Rapids, MI 49546-2395

Mailing address

625 Kenmoor Ave SE # Seste350
Grand Rapids, MI 49546-2395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240409003553 MI Practitioner - Nurse Practitioner 0042658056 Reassigns benefits to 4 organizations
I20260506000606 IN Practitioner - Nurse Practitioner 0042658056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Specialists in Rehabilitation Medicine PCGroup PAC ID 1759450323, 31 clinicians
Reability Health PLLCGroup PAC ID 2264934975, 5 clinicians

Practice addresses (Care Compare)

1135 W University Dr
Suite 175
Rochester, MI 48307-1893
Phone (248) 650-5861

400 Renaissance Ctr
Suite 2600
Detroit, MI 48243-1599
Phone (810) 841-9077

8645 Founders Rd
Indianapolis, IN 46268-1336
Phone (810) 841-9077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Specialists in Rehabilitation Medicine PC CurrentSince Feb 2, 2026 Accepting new patients
Reability Health PLLC Nurse Practitioner CurrentSince Nov 1, 2025 Accepting new patients
Post Acute Physician Care PC Nurse Practitioner CurrentSince Oct 14, 2024 Accepting new patients
Applebaum Physiatry PLLC Gerontology CurrentSince Mar 4, 2024 Accepting new patients
Nursing Home Physician Group PLLC Past Accepting new patients

Locations

2001 Midwest Rd
Ste 100
Oak Brook, IL 60523
Phone (630) 426-9501

128 S East St
Unit 1109
Crown Point, IN 46308

8645 Founders Rd
Indianapolis, IN 46268
Phone (317) 872-4444

2975 N Adams Rd
Bloomfld Hls, MI 48304
Phone (248) 645-2900

9640 Commerce Rd
Ste 202
Commerce Twp, MI 48382
Phone (248) 360-8660

400 Renaissance Ctr
Ste 2600
Detroit, MI 48243
Phone (248) 599-1582

2520 Lake Michigan Dr NW
Grand Rapids, MI 49504
Phone (616) 735-4541

625 Kenmoor Ave SE
Ste 350
Grand Rapids, MI 49546
Phone (248) 243-1911

1135 W University Dr
Ste 175
Rochester Hls, MI 48307
Phone (248) 650-4738

14151 15 Mile Rd
Sterling Hts, MI 48312
Phone (586) 939-0200

801 W Big Beaver Rd
Ste 300
Troy, MI 48084
Phone (248) 658-8424

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1225601131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 KENMOOR AVE SE # SESTE350",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 KENMOOR AVE SE STE 350",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462395",
            "telephone_number": "989-750-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KATHRYN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704310984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.